TAILIEUCHUNG - Medicine The American Journal of Sports

The Navigenics services provide insight into patients’ health risks by determining their individual genetic load for a variety of conditions and medication sensitivities where genetic risk factors are well established. The conditions included in Navigenics’ analysis are those that are clinically actionable and those that contribute to the major burden of disease in the United States, such as myocardial infarction, cancer, and type 2 diabetes. Each of these health conditions, as well as additional conditions included in the analysis, are caused by both genetic and non-genetic (behavioral, lifestyle, environment) risk factors. By providing information about the level of individual genetic. | The American Journal of Sports Medicine http Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis Hâkan Alfredson Tom pietila Per Jonsson and Ronny Lorentzon Am J Sports Med 1998 26 360 The online version of this article can be found at http content 26 3 360 Published by SAGE http On behalf of AOSSM American Orthopaedic Society for Sports Medicine Additional services and information for The American Journal of Sports Medicine can be found at Email Alerts http cgi alerts Subscriptions http subscriptions Reprints http Permissions http Downloaded from at OREGON STATE UNIV LIBRARY on August 20 2009 0363-5465 98 2626-0360 0 The American Journal of Sports Medicine Vol. 26 No. 3 1998 American Orthopaedic Society for Sports Medicine Heavy-Load Eccentric Calf Muscle Training For the Treatment of Chronic Achilles Tendinosis Hâkan Alfredson MD Tom Pietila RPT Per Jonsson RPT and Ronny Lorentzon MD PhD From the Sports Medicine Unit Department of Orthopaedic Surgery University Hospital of Northern Sweden Umea Sweden ABSTRACT We prospectively studied the effect of heavy-load eccentric calf muscle training in 15 recreational athletes 12 men and 3 women mean age years who had the diagnosis of chronic Achilles tendinosis degenerative changes with a long duration of symptoms despite conventional nonsurgical treatment. Calf muscle strength and the amount of pain during activity recorded on a visual analog scale were measured before onset of training and after 12 weeks of eccentric training. At week 0 all patients had Achilles tendon pain not allowing running activity and there was significantly lower eccentric and concentric calf muscle strength on the injured compared with the noninjured side. After the 12-week training period all 15 patients were back

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